A 28 year old female presents with a 6 day old reddened area | Figure 1

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A 28 year old female presents with a 6 day old reddened area to the inner thigh. Hyperpigmented macule area measures 10x4. Area is of normal temperature, non raised, non tender. Patient noticed the area after bachelorette party in Palm Springs, where she swam in the pool, but denied overexposure to sun. Any ideas?

Cases

Case 1

started since 8 years area gradually expanding but not to other parts non pruritic no associated complaints

Case 2

Onset 4 months ago Non tender, not itchy , not scaley Discrete lesions becoming confluent in areas 20 year old male University student Nil allergies

Case 3

A lesion on the 72 year old patient’s left flank, non pruritic or tender. The patient noticed it two weeks ago. A lot of sun exposure. Seems like atypical melanocytic nevus. Multiple melanocytic nevi around the area.

Case 4

Need derm help in rural Africa. This 16 year old has had lesions like this since childhood. It itches rarely. Also involves non-sun-exposed areas. Your thoughts are appreciated.

Case 5

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

Case 6

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

Case 7

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Case 8

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?